Active NPI
Digestive Healthcare of Ga, P.C.
Doing business as Digestive Healthcare of GA Canton
- Gastroenterology Physician
- Canton, GA
National Provider Identifier
1477978799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DIGESTIVE HEALTHCARE OF GA, P.C.
- Doing business as
- Digestive Healthcare of GA Canton
- Practice address
- 15 Reinhardt College Pkwy Ste 104
Canton, GA 30114-5259 - Phone
- (770) 704-6988
- Fax
- (770) 720-8775
- NPI assigned
- Feb 24, 2014
- Organization subpart
- Yes
- Parent organization
- DIGESTIVE HEALTHCARE OF GA, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly M Robinson
- Title
- Director of Ncis
- Phone
- (770) 490-5009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
15 Reinhardt College Pkwy Ste 104
Canton, GA 30114-5259
Mailing address
3280 Howell Mill Rd NW Ste T100
Atlanta, GA 30327-4122
Phone (404) 355-3200
Other names 1
- Digestive Healthcare of GA Canton
National Provider Directory
National Provider Directory- Tax ID family
- Digestive Healthcare of Ga PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Digestive Healthcare of GA Ellijay
- Specialist
- East Ellijay, GA
- NPI 1053735761
-
dba Digestive Healthcare of GA Blue Ridge
- Specialist
- Newnan, GA
- NPI 1225452931
-
- Gastroenterology Physician
- Woodstock, GA
- NPI 1376464396
-
- Gastroenterology Physician
- Marietta, GA
- NPI 1639090665
Locations
104 Prominence Point Pkwy
Ste 104
Canton, GA 30114
Phone (770) 704-6988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1477978799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 HOWELL MILL RD NW STE T100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303274122",
"telephone_number": "404-355-3200",
"fax_number": "770-350-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 REINHARDT COLLEGE PKWY STE 104",
"city": "CANTON",
"state": "GA",
"postal_code": "301145259",
"telephone_number": "770-704-6988",
"fax_number": "770-720-8775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE HEALTHCARE OF GA, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIGESTIVE HEALTHCARE OF GA, P.C.",
"enumeration_date": "2014-02-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "SHELLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR OF NCIS",
"authorized_official_telephone_number": "770-490-5009"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Digestive Healthcare of GA Canton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.